4. The New Classification of Anal Fissure and the Treatment

Abstract

Anal fissure treatment must be decided by objective macroscopic finding than subjective symptom that is serious or not.Anal fissure group into three classes according to the progress.First degree anal fissure ; it is a new simple fissure of anal canal.Second degree anal fissure ; it is ulceration, surface of the ulcer change the fiberous in the lateral edges where undermine.Third degree anal fissure ; it combined with big sentinel tag, hypertrophied anal papilla, haemorrhoids and fistula in ano, etc.On the other hand, the treatment classification three big classes.1) Concervative treatment : Avoidance of constipation. It use an internal medicine ointment and suppository.2) Intermediate treatment : Lapis cautery. Use of an anal dilatator and streching of the anal sphincter, and lockal anaesthetics.3) Operative treatment : L. S. I. S. (Lateral subcutaneous anal internal sphincterotomy).S. S. G. (Excision with sliding skin grafts).Excision and sphincterotomy.Cryosurgical fissurectomy.These three groups are fit for three treatments, and I've been tried to treatment.During the past two years, 1 treated 326 patents, and get the satisfying answer.This method help to simplify a treatment, and can use an example for biginners. 1 believe this method is very useful.